| NPI | 1891494738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M CASEY Owner 217-473-8265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2024-08-23 |