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 |