| NPI | 1346568532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALID OMAR President 217-720-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL 0094907) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 0097900) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2013-04-26 |