| NPI | 1164571139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY D ECKMAN President 309-833-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036102265) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-02-06 |