FOUNTAIN HEALTHCARE LIMITED LIABILITY COMPANY

Adult Medicine Physician · STREATOR, IL

Organization Active NPI 1730425851

Taxonomy & licensure

Specialty	Code	Primary	License	State
Adult Medicine Physician	207QA0505X	✓	036099987	IL

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.