| NPI | 1871208074 |
|---|---|
| Former Legal Business Name | FAMILIA FIRST HEALTH |
| Entity Type | Organization |
| Authorized Contact | CARRIE KEENAN COO 217-637-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-07-22 |