| NPI | 1083663603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS M. KILLIAN Member 815-740-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IL 042066110) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2014-02-11 |