| NPI | 1508926684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J FLETCHER Owner Medical Director 217-356-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |