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 |