| NPI | 1689791360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A VIGO Director Of Revenue Cycle 815-300-7139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: IL 1706432) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-02-06 |