| NPI | 1932292521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO JOSEPH Owner 309-662-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 207V000000X) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2018-04-11 |