Western Illinois Surgical Associates, S.c.

NPI #1841314382 in Macomb, Illinois

Provider Information

NPI Number: 1841314382
Entity Type: Organization
Organization Name: Western Illinois Surgical Associates, S.c.
Primary Specialty: Specialist
Enumeration Date: Mar 19, 2007
Last Updated: Oct 22, 2008

Practice Location

Address: 515 E GRANT ST STE 211
City: Macomb
State: Illinois
ZIP Code: 61455-3378
Phone: (309) 833-3706

Authorized Official

Name: DR. EDWIN L CARD, M.D.
Title: OWNER
Phone: (309) 833-3706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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