| NPI | 1902854623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A VELAZQUEZ Assistant Director Patient Accounts 815-625-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 0000364) |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| 275N00000X Medicare Defined Swing Bed Unit (Licence: IL 0000364) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2021-10-06 |