| NPI | 1699309013 |
|---|---|
| Other Name | FCA FAMILY HEALTH AND WELLNESS - BELVIDERE |
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-10-06 |