| NPI | 1841216975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LAFATA President 217-698-9722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-09-26 |