| NPI | 1144283565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MARIE FREEMAN President 815-773-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036055504) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2007-08-14 |