| NPI | 1922128388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANA HAMID MAHMOOD Physician 217-872-5943 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 042004464) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2015-03-18 |