NPI | 1043338189 |
---|---|
Doing Business As | FAMILY MEDICAL CENTER IM |
Entity Type | Organization |
Authorized Contact | DENNIS PLUARD CFO 217-258-2591 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine |
Enumeration Date | 2007-03-27 |
Last Update Date | 2007-07-18 |