NPI | 1801061650 |
---|---|
Entity Type | Organization |
Authorized Contact | YIBING LI President 309-696-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: IL 036113585) |
Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: IL 036113585) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2015-11-06 |