| NPI | 1780607291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TKACH CEO 217-545-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-07-21 |