| NPI | 1669687984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS C LEE Physician 217-877-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036042486) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: IL 036042486) |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: IL 036042486) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036042486) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2014-09-10 |