MID-CENTRAL ILL GASTRO

NORMAL, IL
NPI1992845358
Other NameMID-CENTRAL ILL GAST LTD
Entity TypeOrganization
Authorized ContactSTEPHEN S MATTER
President
309-451-1123
Organization Subpart ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
Enumeration Date2007-02-07
Last Update Date2008-08-28
Business Address
MID-CENTRAL ILL GASTRO
2200 JACOBSSEN DR SUITE B
NORMAL, IL 61761-5516
Phone number: 309-451-1123
Mailing Address
MID-CENTRAL ILL GASTRO
2200 JACOBSSEN DR SUITE B
NORMAL, IL 61761-5516
Phone number: 309-451-1123