| NPI | 1861703100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN BOHN Owner 309-862-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036-071833) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2017-03-01 |