| NPI | 1811993405 |
|---|---|
| Doing Business As | CENTRAL ILLINOIS BONE AND JOINT CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN CHRIS KEFALAS President 217-425-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 36-094691) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2017-02-13 |