| NPI | 1134714173 |
|---|---|
| Former Legal Business Name | INTERNAL MEDICINE- DIRECT PRIMARY CARE |
| Former Legal Business Name | INTERNAL MEDICINE DIRECT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MAMTA OJHA CEO 309-363-0997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2025-06-11 |