NPI | 1396780854 |
---|---|
Other Name | BROMENN FAMILY HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | KATHY O. DAVIS VP & Chief Information Officer 309-268-2410 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Enumeration Date | 2006-06-18 |
Last Update Date | 2008-10-06 |