| NPI | 1467751156 |
|---|---|
| Doing Business As | MID-CENTRAL ILLINOIS GASTROENTEROLOGY, LTD. |
| Entity Type | Organization |
| Authorized Contact | JOHN HESSE Executive Administrator 309-662-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |