| NPI | 1003857061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REVATHI SWAMINATHAN Owner 309-671-8749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IL 036062991) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-12-04 |