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 |