| NPI | 1982110094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GREGORY ATWATER President 309-287-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL Me119810) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2018-01-26 |