NPI | 1083989578 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDSEY A MA Owner/Supervising Physician 309-683-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 209001128) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 036083144) |
Enumeration Date | 2012-03-15 |
Last Update Date | 2012-03-15 |