| NPI | 1679993471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT PINKERTON Customer Service Specialist 217-333-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 018001794) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |