| NPI | 1487927265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY I MERIDEN President/Owner 309-673-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 0360586021) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2013-03-13 |