| NPI | 1205958741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIAOLU LI Physician 309-837-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036099467) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-01-18 |