| NPI | 1356412894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON A SCHREINER Chief Operating Officer 815-398-9491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002835) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-12-20 |