| NPI | 1992845358 |
|---|---|
| Other Name | MID-CENTRAL ILL GAST LTD |
| Entity Type | Organization |
| Authorized Contact | STEPHEN S MATTER President 309-451-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-08-28 |