Mid-Central Ill Gastro

NPI #1992845358 in Normal, Illinois

Provider Information

NPI Number
1992845358
Entity Type
Organization
Organization Name
Mid-Central Ill Gastro
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Feb 7, 2007
Last Updated
Aug 28, 2008

Practice Location

Address
2200 JACOBSSEN DR
Address 2
SUITE B
City
Normal
ZIP Code
61761-5516
Phone
(309) 451-1123

Authorized Official

Name
STEPHEN S MATTER, M.D.
Title
PRESIDENT
Phone
(309) 451-1123

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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