| NPI | 1881907368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN HERRIN President 309-582-3326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 038-006482) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |