| NPI | 1952304412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOPE E KNAUER President 217-342-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036085448) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036095601) |
| 207N00000X Dermatology (Licence: IL 036099940) | |
| 208000000X Pediatrics (Licence: IL 036089116) | |
| 207Q00000X Family Medicine (Licence: IL 036084841) | |
| 207R00000X Internal Medicine (Licence: IL 036108589) | |
| 208000000X Pediatrics (Licence: IL 036103305) | |
| 208000000X Pediatrics (Licence: IL 036094764) | |
| 207Q00000X Family Medicine (Licence: IL 036112996) | |
| 207R00000X Internal Medicine (Licence: IL 036089116) | |
| 207R00000X Internal Medicine (Licence: IL 036094764) | |
| 207R00000X Internal Medicine (Licence: IL 036103305) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2018-06-21 |