| NPI | 1932178183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CHRISTOPHER Executive Assistant 309-797-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School | |
| 1223D0001X Dentist, Dental Public Health | |
| 1223G0001X Dentist, General Practice | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| 126900000X Dental Laboratory Technician | |
| 1041S0200X Social Worker, School | |
| 122300000X Dentist | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2024-01-09 |