NPI | 1356811145 |
---|---|
Doing Business As | QC FAMILY CARE |
Entity Type | Organization |
Authorized Contact | CAROLYN F MYERS Credentialing 309-762-9711 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2018-12-05 |
Last Update Date | 2018-12-05 |