| NPI | 1407153539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEE SWINGLER Owner 309-692-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036062855) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |