| NPI | 1629468541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G ATWATER Owner 309-454-1100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: IL 036100906) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |