| NPI | 1699832683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A OWENS Director Of Patient Accounting 217-326-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: IL 13304532) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |