| NPI | 1295495208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMARDEEP SHRESTHA Manager 217-801-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2022-01-06 |