| NPI | 1881481430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LYNN BURRILL Director Of Revenue Cycle 309-373-5753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 103TC0700X Psychologist, Clinical | |
| 207Q00000X Family Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| 103T00000X Psychologist | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-10-10 |