| NPI | 1861440778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARY RAE COLLETTE Athletic Trainer Certified 217-239-2936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |