| NPI | 1215705926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CLAY Owner 309-265-6864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2025-10-17 |