| NPI | 1508113580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L BROWN President 217-443-5201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IL 7002363) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |