| NPI | 1043555360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHSAN USMAN CEO 309-642-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036-121212) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |