| NPI | 1083613327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS B KULB Physician/Owner 309-834-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002512) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |