NPI | 1003830043 |
---|---|
Doing Business As | ILLINI COM. HOSP. SURGICAL CENTER |
Entity Type | Organization |
Authorized Contact | CONNIE L. SCHROEDER President/CEO 217-285-2113 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD034738E) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2023-11-27 |