| NPI | 1770916777 |
|---|---|
| Doing Business As | NORTHERN ILLINOIS MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JAMISON D ALLEN Co Owner 815-748-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036098973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036103130) |
| 363A00000X Physician Assistant (Licence: IL 085004109) | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2021-06-16 |