| NPI | 1720057730 |
|---|---|
| Doing Business As | ULTIMED PLUS |
| Entity Type | Organization |
| Authorized Contact | CHARLES W NEAL President 618-242-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036079719) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2016-02-12 |