| NPI | 1508290875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D STONE President & CEO 217-876-2114 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2016-11-10 |