| NPI | 1033241880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIPE P. ENRIQUEZ Owner 309-788-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036056321) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |