| NPI | 1326253873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDY LYNN POLLITT Billing Specialist 309-673-6791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036111906) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-01-14 |