| NPI | 1760271159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANA SARFRAZ AHMED KHAN Dr 217-775-4023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-08 |