NPI | 1255301909 |
---|---|
Doing Business As | MEDICAL SERVICE PLAN @ PEORIA |
Entity Type | Organization |
Authorized Contact | WILLIAM R NICHOLAS Ex Director Of Medical Service Plan 312-413-0573 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2006-01-25 |
Last Update Date | 2020-08-22 |