NPI | 1811220650 |
---|---|
Doing Business As | GREAT PLAINS, LLC |
Entity Type | Organization |
Authorized Contact | JANET E SMITH Chief Operating Officer 309-676-5546 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 7003146) |
Enumeration Date | 2009-09-11 |
Last Update Date | 2009-09-11 |