| NPI | 1952429094 |
|---|---|
| Doing Business As | FAMILY MEDICAL CNTR PEDS |
| Entity Type | Organization |
| Authorized Contact | DENNIS PLUARD CFO 217-258-2513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |