| NPI | 1508974304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USHARANI M KOMAR Medical Doctor 309-762-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036087050) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |