| NPI | 1871513655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE RODRIGUEZ Health Department Administrator 309-888-5471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-02-21 |