| NPI | 1164864450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C DICKERSON Chief Executive Officer 217-222-9302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2013-07-27 |
| Last Update Date | 2013-07-27 |