| NPI | 1790924306 |
|---|---|
| Doing Business As | CENTRAL ILLINOIS ENDOSCOPY CENTER |
| Entity Type | Organization |
| Authorized Contact | CATHERINE EMANUEL Secretary/Treasurer 309-672-4846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |