NPI | 1922042233 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN C THOMPSON Owner 309-692-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036076612) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2014-04-09 |