| NPI | 1659401909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACALYN R LYLES-CARROLL Crt 708-202-8387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: IL 194004580) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |