| NPI | 1740430784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D. TARANTINO Medical Director 309-370-6124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2022-07-15 |