| NPI | 1750077616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JOSEPH STROHL Family Nurse Practitioner 217-259-2987 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2024-09-18 |