| NPI | 1083848188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JOAN COLE Lead Physician 309-691-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036062798) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |