| NPI | 1033393889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMESH P GOSWAMI Owner 815-758-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 042005119) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-05-29 |