| NPI | 1124787940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG W CARMICHAEL President 309-824-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2022-01-12 |