| NPI | 1679503692 |
|---|---|
| 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 |