| NPI | 1871877597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA SUZANNE GOWIN President 217-234-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: IL 5103061) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |