| NPI | 1760464481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH WHITE President 217-428-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2007-11-23 |