| NPI | 1346282522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN TAIMOORAZY President 309-454-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 042616733) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 042616733) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-12-14 |