| NPI | 1033378385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABHIN SINGLA Executive/Medical Director 815-744-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL A-4389-0001-A) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |