| NPI | 1740088210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DUANE EVARD Vice President Of Revenue Cycle 217-492-9651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0404X Clinic/Center Rehabilitation, Cardiac Facilities |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |