| NPI | 1467041343 |
|---|---|
| Other Name | BCBS MEDICAID |
| Entity Type | Organization |
| Authorized Contact | ROBERT C SEHRING Chief Executive Officer 309-655-2850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2024-03-07 |