| NPI | 1891779203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELAND E MCNEILL Doctor 217-348-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036036335) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |