| NPI | 1134370356 |
|---|---|
| Doing Business As | BEARDSTOWN CLINIC 1 |
| Entity Type | Organization |
| Authorized Contact | DAVID SNIFF Chief Executive Officier 217-322-4321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |