| NPI | 1346205481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARA DAVID APRAHAMIAN Medical Director 309-829-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IL 7002249) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2023-03-06 |