| NPI | 1609221217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIR MINTON President 815-573-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: IL 0053652) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |