NPI | 1861494072 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY A. MUNTZ President 815-664-1372 |
Organization Subpart ? | No |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 0002576) |
Enumeration Date | 2005-06-01 |
Last Update Date | 2021-01-27 |