| NPI | 1114236379 |
|---|---|
| Doing Business As | MCDONOUGH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | STEPHEN R. HOPPER CEO 309-833-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |