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 |