| NPI | 1902911431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERNANKEL D L NAYAK Owner 217-342-9738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 042003881) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-05-19 |