| NPI | 1356400782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEONARD CEO 217-383-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 007002959) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2019-02-06 |