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 |