NPI | 1780638478 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN NERONE Senior Vice President & CFO 217-528-7541 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-05-19 |
Last Update Date | 2017-07-24 |