Central Illinois Snf Care Pllc

NPI #1063103190 in Jacksonville, Illinois

Provider Information

NPI Number
1063103190
Entity Type
Organization
Organization Name
Central Illinois Snf Care Pllc
Primary Specialty
Internal Medicine
Enumeration Date
May 18, 2023
Last Updated
Oct 3, 2023

Practice Location

Address
1517 W WALNUT ST
ZIP Code
62650-1133
Phone
(630) 336-5620

Authorized Official

Name
BHAVIN VALLABHBHAI SONANI
Title
PRESIDENT / OWNER
Phone
(630) 336-5620

Specialties & Taxonomy Codes

Specialty
Hospitalist
Internal Medicine

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