| NPI | 1831699958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAADIQ F EL-AMIN Owner/Manager 217-816-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2025-03-07 |