| NPI | 1346093937 |
|---|---|
| Doing Business As | GMG SOUTH - PRIMARY & CONVENIENT CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JULIE REEDER VP Of Finance And CFO 309-647-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |