| NPI | 1083066674 |
|---|---|
| Doing Business As | IMH GENERAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | ERIN GWALTNEY Credentialing Specialist 815-432-7966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |