| NPI | 1578832069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY PERRINE Controller/Human Resources Director 217-356-6150 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |