NPI | 1063448215 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE R CHANDLER President 309-663-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 042617190) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2011-11-16 |