| NPI | 1841447653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M MOORE CEO 309-655-2850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2016-04-08 |