NPI | 1497942791 |
---|---|
Entity Type | Organization |
Authorized Contact | LELAND E MCNEILL Medical Doctor 217-348-8727 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2007-10-01 |
Last Update Date | 2007-12-14 |