| NPI | 1225960339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATANARAYANAN GANAPATHY Director 217-691-7775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2026-06-02 |
| Last Update Date | 2026-06-02 |