NPI | 1235667593 |
---|---|
Doing Business As | THE GIBSON CITY WEEKEND CLINIC |
Entity Type | Organization |
Authorized Contact | MIKE MEUNIER Chief Compliance Officer 217-784-2286 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 0000836) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2022-07-21 |