NPI | 1679811590 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW PETE DUVENDACK President 309-497-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: IL 036082645) |
Enumeration Date | 2013-01-28 |
Last Update Date | 2013-01-28 |