| NPI | 1780638478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY BUTLER Associate Vice President 217-528-7541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-10-21 |