NPI | 1255721502 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY J ADAMSON President 309-693-3970 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036089935) |
Enumeration Date | 2015-01-26 |
Last Update Date | 2016-04-29 |