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 |