| NPI | 1396897526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY TSUDA Vice President 217-875-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036072402) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-08-07 |