| NPI | 1114987252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY WEBER Billing Supervisor 309-797-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 042-616869) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2008-04-20 |