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 |