| NPI | 1053672832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J SERGEANT President 815-938-7421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036057704) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2014-10-16 |