| NPI | 1275682445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANIT SHAY Owner 309-671-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036048357) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036049845) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-09-06 |