| NPI | 1134308620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT S TAULBEE CEO 309-663-6386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036060267) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |