| NPI | 1154588317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIS AHMAD M.D 309-762-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036049910) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036049910) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2010-03-25 |