| NPI | 1598897993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ARMSTRONG Director 217-892-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2016-12-14 |