| NPI | 1609685189 |
|---|---|
| Doing Business As | CARLE HEALTH PEORIA IN SCHOOL HEALTH RICHWOODS |
| Entity Type | Organization |
| Authorized Contact | KEITH KNEPP President 309-671-2528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |