| NPI | 1467425322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY LEONARD Director Of Fiscal Affairs 309-680-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RI0200X Internal Medicine Infectious Disease | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2024-08-06 |