| NPI | 1053508523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD F KLOC Owner/Physician 815-223-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036087175) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2009-01-19 |