| NPI | 1538101373 |
|---|---|
| Doing Business As | DANVILLE POLYCLINIC LTD ASTC |
| Entity Type | Organization |
| Authorized Contact | MELISSA A EDINGTON Administrator 217-477-4794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002371) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-09-30 |