NPI | 1861902991 |
---|---|
Former Legal Business Name | DIGESTIVE HEALTH ASSOCIATES OF JULIET LLC |
Entity Type | Organization |
Authorized Contact | BACHAR HAMAD Physician 815-277-5083 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036088909) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2017-10-03 |
Last Update Date | 2021-02-02 |