| NPI | 1497734099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE A MICHAELSON President 309-762-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036065867) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2007-10-29 |