NPI | 1710073176 |
---|---|
Doing Business As | EAI |
Entity Type | Organization |
Authorized Contact | THEODORE FIFER Medical Director 217-342-7090 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility (Licence: IL 2198) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-08-22 |