| NPI | 1821977141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY HAMMOND Md 309-262-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |