All Medicaid billing entities listing GREENWALT, NANCY (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Illinois | 1 | $83K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PROMISE HEALTHCARE NFP | URBANA, IL | Federally Qualified Health Center (FQHC) | $83K |