| NPI | 1336408038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KUBE Owner/Medical Director 309-691-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |