NPI | 1417204827 |
---|---|
Other Name | BLESSING BARIATRIC CENTER |
Entity Type | Organization |
Authorized Contact | TIMOTHY A MOORE CAO 217-223-1200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
Enumeration Date | 2012-08-06 |
Last Update Date | 2023-11-27 |