| NPI | 1669695227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU ANN SMITH President 309-342-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |