| NPI | 1912612771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY STICHTER Practice Manager 309-277-1461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-08-01 |