NPI | 1366620064 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES M KURLEY President/Medical Director 217-356-3850 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 060.007842) |
Enumeration Date | 2008-02-05 |
Last Update Date | 2018-01-08 |