| NPI | 1134627326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN KAHN President, CEO 217-223-8400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2021-05-12 |