| NPI | 1538165667 |
|---|---|
| Doing Business As | SOUTHWEST CENTER FOR MEDICAL EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | JANNA NEWTON Office Adminstrator 815-729-0129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036082086) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036069543) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036076073) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209004703) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2020-08-22 |