| NPI | 1255612933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS JAY RADER Dir. Of Operations 815-344-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: IL NA) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |