Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
261QC1500X |
| NPI # | 1568294130 |
| LBN Legal business name | CENTERSTONE OF ILLINOIS, INC |
| Authorized official | STACY PHILLIPS - (REVENUE CYCLE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/14/2024 |
| Last updated | 08/14/2024 - More than a year ago |
| Identifiers | n/a |
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