| NPI | 1578600615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE L ADAMS-SNELSON Human Resource Assistant 217-935-9496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-11-18 |