| NPI | 1417279258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH KATHERINE VESSELL Owner/Operator 309-751-7552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: IL 9259150) |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2010-02-21 |