| NPI | 1467141218 |
|---|---|
| Doing Business As | MAIN STREET HEALTH MEDICAL PARTNERS - ILLINOIS |
| Entity Type | Organization |
| Authorized Contact | BARBARA SMITH Director Of Operations 615-739-5017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-05-05 |