NPI | 1598831794 |
---|---|
Doing Business As | DR. TIM LAHOOD |
Entity Type | Organization |
Authorized Contact | MARY J MCCUMBER Office Manager 309-689-0909 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 036089054) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2011-12-14 |