NPI | 1831107853 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARENCE EUGENE QUINT Anesthesia Provider 217-732-2161 |
Organization Subpart ? | No |
Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: IL 209-000791) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2020-08-22 |