| Organization Name: | ILLINIOS VALLEY COMMUNITY HOSPITAL |
| NPI Number: | 1093188658 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DORINDA BONNELL (DIRECTOR) |
| Mailing Address: | 520 W Walnut St Oglesby |
| State: | IL US |
| Postal Code: | 613481400 |
| Phone Number: | 8158833588 |
| Fax Number: | 8158833604 |
| NPI Enumeration Date: | 11/04/2015 |
| NPI Last Update Date: | 11/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 085005712 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |