| NPI | 1982789582 |
|---|---|
| Doing Business As | IVCH IMMUNIZATION CLINIC |
| Doing Business As | SMH-PERU IMMUNIZATION CLINIC |
| Entity Type | Organization |
| Authorized Contact | LISA KAY LYNCH A VP Of Finance 815-780-3574 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 212650) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2021-01-27 |