NPI | 1679503692 |
---|---|
Doing Business As | THE CENTER FOR OUTPATIENT MEDICINE |
Entity Type | Organization |
Authorized Contact | SARAH ELLEN GARDNER Business Director 309-662-6120 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IL 7002116) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2020-09-11 |