| NPI | 1649255266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HEISCHMIDT President 217-342-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: IL 0420007457) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 042007457) |
| 207R00000X Internal Medicine (Licence: IL 042007457) | |
| 208000000X Pediatrics (Licence: IL 042007457) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2023-11-30 |