| NPI | 1235305954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCA JANE OWENS Office Manager 217-228-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: IL 036068434) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |