NPI | 1336482025 |
---|---|
Doing Business As | CARLE PHYSICIAN GROUP |
Entity Type | Organization |
Authorized Contact | JOHN SNYDER Vice Chairman 217-383-4604 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207QA0505X Family Medicine, Adult Medicine | |
207RG0300X Internal Medicine, Geriatric Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2013-04-01 |
Last Update Date | 2013-04-01 |