| NPI | 1063420248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME W OAKEY President 309-663-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2016-09-14 |