| NPI | 1376680363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE C CHENG Director 309-692-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 042617586) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2009-05-26 |