| NPI | 1952351546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENNON H PAUL President 217-522-5596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-10-04 |