| NPI | 1346447901 |
|---|---|
| Former Legal Business Name | BAYTREE MEDICAL SC |
| Entity Type | Organization |
| Authorized Contact | J LAURENCE MILLER Physician 217-522-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: IL 038006597) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID 36076506) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |