| NPI | 1407970858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSIE ADAMS Insurance Coordinator 309-764-9162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 042616991) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |