| NPI | 1720088776 |
|---|---|
| Doing Business As | PIKE COUNTY FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | RONALD L JOHNSON Owner/Physician 217-285-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: IL 143946) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-08-22 |