| NPI | 1255527727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA DEMPSEY Office Manager 309-664-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 36100030) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |