| NPI | 1003983057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE LEE JECKEL President 217-356-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036064382) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-04-04 |