| NPI | 1366615668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULEE LEE Office Manager 217-348-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036058473) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |