Illini Family Medicine

NPI #1104830520 in Washington, Illinois

Provider Information

NPI Number: 1104830520
Entity Type: Organization
Organization Name: Illini Family Medicine
Primary Specialty: Family Medicine
Enumeration Date: Jul 28, 2006
Last Updated: Dec 4, 2007

Practice Location

Address: 201 N CUMMINGS LN
City: Washington
State: Illinois
ZIP Code: 61571-2181
Phone: (309) 444-3627

Authorized Official

Name: LEE T KINSINGER, MD
Title: PRESIDENT
Phone: (309) 444-3627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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