| NPI | 1720250160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHARAT GOPAL Family Medicine Residency Director 217-383-3170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036119106) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |