| NPI | 1164313862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA CLAY Managing Member 309-533-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |