| NPI | 1841744174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DILLARD Chief Pharmacist 309-363-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 051036369) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |