| NPI | 1033171343 |
|---|---|
| Other Name | PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | ANN BOWLING Director 217-588-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2024-01-30 |