| NPI | 1124064472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO CLAUDE ASCHINBERG President 815-729-0521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036049932) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |