| NPI | 1326070921 |
|---|---|
| Doing Business As | BELLEVILLE FAMILY PRACTICE RESIDENCY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | MARK D EVARD VP Of Revenue Cycle 217-492-9651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-09-19 |