| NPI | 1558306480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HELEN BOWMAN Information Services 309-692-5393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2022-12-05 |