| NPI | 1740598234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LEE TOTEL President 217-875-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036068474) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |