| NPI | 1912177130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALID M HAFEZ President 217-223-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036056609) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |