| NPI | 1417191255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MING TAO WANG President 217-403-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036106997) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |