| NPI | 1013402825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT TOMLIN Practice Owner 815-861-5543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.092485) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-08-28 |