| NPI | 1568667772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD W PEGG Owner 309-661-7344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036071077) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2008-05-29 |