| NPI | 1922383314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MALONEY Executive Director 815-933-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: IL 041-129-294) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: IL 180-006-235) |
| 251V00000X Voluntary or Charitable (Licence: IL 180-0007-145) | |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |