| NPI | 1831634237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIETRA KULICKE Executive Director Of Cfhc 309-557-1437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2017-01-30 |