| NPI | 1982844320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. TRAVIS DOWELL Vice President Hcna And Operations 217-788-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |