| NPI | 1366562290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L CULLEN Owner 309-797-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036078998) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-06-26 |