| NPI | 1922350099 |
|---|---|
| Doing Business As | NOLL MEDICAL PAVILION CLINIC |
| Entity Type | Organization |
| Authorized Contact | JANET R ALBERS Director 217-757-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2013-03-14 |