| 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 |