| NPI | 1881442770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK CAPLIS CEO 309-886-9172 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-05-07 |