| NPI | 1659490761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKKI L. FALLS Managing Director 309-454-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: IL 036100906) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2016-06-22 |