| NPI | 1942501978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL ARTHUR MCGOWAN Administrator 309-451-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208200000X Plastic Surgery | |
| 208800000X Urology | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2023-12-08 |