| NPI | 1518111376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A KUBE Owner 309-691-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2022-01-04 |