| NPI | 1730826165 |
|---|---|
| Doing Business As | SIU QUINCY FAMILY MEDICINE - ADCES PROGRAM |
| Doing Business As | SIU QUINCY FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | IRIS WESLEY CEO 217-757-8137 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |