| NPI | 1649367855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO ENCARNACION TIRONA President 217-337-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036043680) |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2020-08-22 |