| NPI | 1801048855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI L FRIZZI Assistant Administrator 618-945-2091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: IL 0045617) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |