| NPI | 1336103795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES K BILLMAN Member 309-762-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: 14D1019160) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2016-04-05 |