| NPI | 1346399391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA K. ANDERSON Medical Doctor Ob Gyn 217-876-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036094384) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036069886) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209000428) | |
| 363L00000X Nurse Practitioner (Licence: IL 209001529) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-08-07 |