| NPI | 1942411491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON MCNICHOL Doctor 309-389-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 25MA05747100) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-07-23 |