NPI | 1972509701 |
---|---|
Doing Business As | THE ONARGA CLINIC |
Entity Type | Organization |
Authorized Contact | MATTHEW ERTEL Chief Financial Officer 217-784-2601 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
261QR1300X Clinic/Center Rural Health (Licence: IL 007) | |
Enumeration Date | 2005-06-27 |
Last Update Date | 2022-07-21 |