COUNTY OF VERMILION

NPI # 

Practice Address:

200 S College St , Suite A

Danville, IL, 61832-6744

Practice Phone:

217-431-2662

Practice Fax:

217-431-7483

License Number:

036-063740

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X