Western Illinois Medical Group, LLC

NPI #1205958741 in Macomb, Illinois

Provider Information

NPI Number: 1205958741
Entity Type: Organization
Organization Name: Western Illinois Medical Group, LLC
Primary Specialty: Dermatology
Enumeration Date: Apr 4, 2007
Last Updated: Jan 18, 2023

Practice Location

Address: 909 E GRANT ST
City: Macomb
State: Illinois
ZIP Code: 61455-3371
Phone: (309) 837-7546

Authorized Official

Name: DR. XIAOLU LI, M.D.
Title: PHYSICIAN
Phone: (309) 837-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Dermatology	207N00000X	Primary

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