NPI | 1750349809 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN A BROOKS Physician Owner 217-423-7338 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036104474) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2020-08-22 |