Organization
BAYVIEW FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINUS ANUKWU MD (MEDICAL DIRECTOR)
(217) 356-3400
Entity
Organization
Contact information
Practice address
3595 N VERMILLION STREET, DANVILLE, IL 61832
(217) 443-9000
Mailing address
206 BURWASH AVENUE, SAVOY, IL 61874
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014228
IL
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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