| NPI | 1639123037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN H KRAUSE Executive Director 815-338-7360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IL 06524009) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |