| NPI | 1134251853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY H HALLER President 217-342-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 042007544) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2015-02-23 |