NPI | 1295827749 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE CARLTON GILBERT President 309-689-0044 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036077426) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2008-03-06 |