| NPI | 1336192384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA S WATSON Assistant Business Manager 217-528-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |