| NPI | 1487642708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY M KILLIAN Owner 217-544-3143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 042007661) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2026-06-26 |