| NPI | 1871768044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD LEE WRIGHT Owner/Sole Proprietor 309-454-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 038005831) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |