| NPI | 1215108139 |
|---|---|
| Other Name | ST. MARY HOSPITAL PREFERRED PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | MARK D EVARD VP Of Revenue Cycle 217-492-9651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2023-09-19 |