| NPI | 1770681330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT KILLOUGH Owner/Podiatrist 217-348-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: IL 16005103) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-07-13 |