| NPI | 1760431712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN JUSTUS DICK Managing Partner 309-662-9461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2008-06-05 |