| NPI | 1073167664 |
|---|---|
| Doing Business As | CREEKSIDE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |