| NPI | 1902800535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KAY LYNCH A VP Of Finance 815-780-3574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 0003418) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 0358360001) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2021-01-27 |