NPI | 1073208856 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN J STROHL Family Nurse Practitioner/Owner 217-259-2987 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-04-07 |
Last Update Date | 2024-09-18 |