| NPI | 1609811520 |
|---|---|
| Doing Business As | SIU QUINCY FAMILY PRACTICE CENTER |
| Entity Type | Organization |
| Authorized Contact | NELSON C WEICHOLD C.F.O. 217-545-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2014-12-03 |