| NPI | 1346228848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W ROBERT COOPER Cmpe, Chbc 309-682-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2085N0904X |
| 2085B0100X Radiology, Body Imaging | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2025-09-11 |