NPI | 1467425322 |
---|---|
Doing Business As | UNIVERSITY OF ILLINOIS MEDICAL SERVICE PLAN AT PEORIA |
Doing Business As | MEDICAL SERVICE PLAN AT PEORIA |
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 |