| NPI | 1720734361 |
|---|---|
| Doing Business As | ILLINOIS VALLEY ACCULABS |
| Entity Type | Organization |
| Authorized Contact | MADISON EHLERS Manager 815-780-8134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-05-23 |