| NPI | 1255380846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENITA JACKSON Director, Financial Services 217-326-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LA0401X Anesthesiology Addiction Medicine | |
| 207LC0200X Anesthesiology Critical Care Medicine | |
| 207N00000X Dermatology | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207RI0001X Internal Medicine Clinical & Laboratory Immunology | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2008-05-13 |