| NPI | 1972984052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KAUFMANN Director 217-652-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research (Licence: IL 036054850) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |