| NPI | 1982732772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT ALAN TARRO Administrator 217-854-3223 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IL 004) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2022-07-21 |