| NPI | 1750042966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN ADAMS VP Of Finance And CFO 217-466-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 133V00000X Dietitian, Registered | |
| 163W00000X Registered Nurse | |
| 207L00000X Anesthesiology | |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207U00000X Nuclear Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2024-09-30 |