| NPI | 1609048495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATIENCE OKPAKU ADESIDA Physician/President. 217-239-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036075310) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-07-16 |