| NPI | 1023056090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARA D APRAHAMIAN Medical Director 309-829-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-04-11 |