NPI | 1467456996 |
---|---|
Other Name | DR. WILLIAM ECKSTEIN |
Entity Type | Organization |
Authorized Contact | WILLIAM L ECKSTEIN President 217-342-5405 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036066126) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IL 036066126) |
Enumeration Date | 2005-06-13 |
Last Update Date | 2016-03-30 |