| NPI | 1982136271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DAWN CUNNINGHAM Neonatal Nurse Practitioner 309-846-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 209015725) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |