| NPI | 1275556771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TKACH CEO 217-545-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| 2080P0214X Pediatrics, Pediatric Pulmonology | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-07-21 |