| NPI | 1548460108 |
|---|---|
| Doing Business As | PROCTOR MEDICAL GROUP OF NEUROLOGY |
| Entity Type | Organization |
| Authorized Contact | CARRIE CHIARAVALLE Director Operations 309-689-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |