| NPI | 1912622499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA KIM VILT CFO 815-935-7542 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-10-07 |