| NPI | 1669784351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DALE REEDER President/Chairman 309-310-1879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OK 4867) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2011-07-07 |