NPI 1972993814

Restore Medical LLC

Organisation General Practice Physician Morton, IL

Practice location

Address: 411 Maxine Dr, Morton, IL 61550-2495
Phone: (309) 291-0988
Fax: (309) 291-0989

Authorised official

Name: Alexander J Cummings
Title: Vice President
Phone: (309) 291-0988

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Illinois →

Registry record

NPI: 1972993814
Entity type: Organization
NPI issued: 30 Jan 2015
Record last updated: 30 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.