| NPI | 1114470945 |
|---|---|
| Doing Business As | BAPTIST PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2020-05-15 |