| NPI | 1114018439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE M GEISS President 309-674-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-05-06 |