| NPI | 1568493419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM COUGHLIN President 217-726-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036056269) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2010-01-22 |