| Organization Name: | HYGIENIC INSTITUTE FOR LASALLE, PERU AND OGLESBY |
| NPI Number: | 1912944703 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORENE MUNSON (DIRECTOR) |
| Mailing Address: | 2970 Chartres St La Salle |
| State: | IL US |
| Postal Code: | 613011097 |
| Phone Number: | 8152230196 |
| Fax Number: | 8152230358 |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | =========004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |