| NPI | 1629962014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN MARIE LARGENT CFO 309-308-5255 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |