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 |