NPI | 1972541902 |
---|---|
Doing Business As | UIC MERIT |
Entity Type | Organization |
Authorized Contact | LOREEN SUE DIDIER Credentialing Specialist 815-395-5861 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2006-06-03 |
Last Update Date | 2022-08-18 |