| NPI | 1821266792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATHANJALI SARAVANAN President 217-352-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036091243) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |