| NPI | 1275565988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LAFATA President 217-698-9722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208600000X Surgery | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-09-26 |