| NPI | 1003837915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COHEN President 815-725-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2011-06-30 |