| NPI | 1912903261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHROOZ HESHMATPOUR President 217-347-5305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036064071) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2009-07-08 |