| NPI | 1972782845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET A VAN DUYN Director 309-691-9073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7001670) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |