| NPI | 1558480418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL DIANE BARBER Insurance Administrator 217-245-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-07-16 |