| NPI | 1083952717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMID GHALAMBOR Ownder 217-222-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036114432) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |