| NPI | 1225234206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL W PALMER President 309-672-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 042.007061036.047262) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-08-02 |