NPI | 1639389661 |
---|---|
Entity Type | Organization |
Authorized Contact | YOLANDA RENFROE Secretary Treasurer 309-683-6704 |
Organization Subpart ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |