| NPI | 1215022314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USHA RANI PARUCHURI Chief, Geriatrics And Extended Care 217-554-5630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036067445) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-12-12 |