| NPI | 1174670723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL ARTHUR MCGOWAN Administrator 309-451-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7003056) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2023-12-08 |