NPI | 1770582744 |
---|---|
Former Legal Business Name | ILLIANA SURGERY AND MEDICAL CENTER, LLC |
Entity Type | Organization |
Authorized Contact | JEFFREY YESSENOW CEO 219-922-4200 |
Organization Subpart ? | No |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IN 05-010988-1) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2020-08-22 |