| NPI | 1285687996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS PLUARD CFO & VP Of Operations 217-258-2102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 060005120) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: IL 060005120) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: IL 060005120) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 2083S0010X Preventive Medicine Sports Medicine (Licence: IL 060005120) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-05-22 |