| NPI | 1003263104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINUS ANUKWU Medical Director 217-356-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014228) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |