| NPI | 1023241742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SEIBERT President 217-398-4594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: IL 021001261) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: IL 021001261) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2016-10-25 |