| NPI | 1023448644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARIE JACOBSMA Nurse Practitioner 563-505-3837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 209010998) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-19 |