| NPI | 1508315086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHRIS KEFALAS Administrator 217-520-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2017-02-13 |