| NPI | 1730128315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE E MATHERS President Board Of Directors 309-664-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center Sleep Disorder Diagnostic (Licence: IL NA) |
| Additional Taxonomies | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |