| NPI | 1639362155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D EVARD VP Of Revenue Cycle 217-492-9651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036078656) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2024-10-31 |