| NPI | 1013931377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA D RUNGE President CEO 217-345-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) (Licence: IL 33724466) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |