| NPI | 1942992920 |
|---|---|
| Doing Business As | S.T.A.R.S. HCC |
| Entity Type | Organization |
| Authorized Contact | DANICA EDRIRE JOI WILSON Medical Director 309-517-7398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-11-28 |