| 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 |