NPI | 1174869721 |
---|---|
Former Legal Business Name | JOHN C LINCOLN, LLC |
Former Legal Business Name | JOHN C. LINCOLN, LLC DBA NORTH PEORIA FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | JOHN NEIL EVP/Cpe 480-587-5123 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2012-12-28 |
Last Update Date | 2022-09-23 |