NPI | 1992038640 |
---|---|
Doing Business As | ILLINI COMMUNTIY PHYSICIANS |
Entity Type | Organization |
Authorized Contact | TIMOTHY A. MOORE VP Finance, CAO 217-223-8400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 0005132) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
282NC0060X General Acute Care Hospital, Critical Access | |
Enumeration Date | 2009-09-14 |
Last Update Date | 2023-11-27 |