| NPI | 1396724183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE A LEVSEN Administrator 309-779-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2021-02-23 |