| NPI | 1497930689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M ELIZABETH STROW Md 217-793-5517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036072746) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-02-12 |