| NPI | 1114974581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F MINITER Md 309-793-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2009-02-04 |