| NPI | 1629490628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WESLEY NEWLIN Physician/Owner 217-872-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036074839) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |