| NPI | 1306802608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR ELOY Medical Director 217-875-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2008-04-20 |