| NPI | 1992114714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C DICKERSON Chief Executive Officer 217-222-9302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 042000749) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |