| NPI | 1316973977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKESH VEDAVYAS Manager 815-741-9719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036097009) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036115848) |
| 207T00000X Neurological Surgery (Licence: IL 036083980) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2012-10-22 |