NPI | 1336150523 |
---|---|
Doing Business As | KOKE MILL MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | WILLIAM T KENDRICK Director 217-757-7493 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine |
208000000X Pediatrics | |
Enumeration Date | 2006-08-11 |
Last Update Date | 2020-08-22 |