| NPI | 1932831427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SEDGWICK Vice President 309-699-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2024-03-21 |