NPI | 1013227214 |
---|---|
Doing Business As | RIVERWALK FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | CARRIE RARDIN Office Assistant 630-219-3172 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036114032) |
Enumeration Date | 2010-10-21 |
Last Update Date | 2011-02-11 |