NPI | 1598000770 |
---|---|
Doing Business As | DANVILLE PEDIATRIC CENTER |
Entity Type | Organization |
Authorized Contact | BAMIDELE EKUNSANMI CEO 217-336-3288 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 036112430) |
Enumeration Date | 2012-11-29 |
Last Update Date | 2023-12-13 |