NPI | 1013086982 |
---|---|
Doing Business As | PANA MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KATRINA CASNER President/CEO 217-562-2131 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2006-11-07 |
Last Update Date | 2016-06-07 |