| NPI | 1396780292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A SIEBERT Owner 309-353-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036101798) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2011-04-12 |