| NPI | 1477672020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA M CLARK Practice Administrator 309-687-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036084069) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2009-01-26 |