| NPI | 1881214104 |
|---|---|
| Other Name | PROFESSIONAL FEES |
| Entity Type | Organization |
| Authorized Contact | MARK D EVARD VP Of Revenue Cycle 217-492-9651 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2023-09-19 |