| NPI | 1467467803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMERN SRIRATANA President 309-452-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-02-20 |