| NPI | 1144559485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON R. MALAKER President 815-544-3481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-075458) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2010-03-16 |