NPI | 1164508933 |
---|---|
Entity Type | Organization |
Authorized Contact | ALFRED R HUYOUNG Owner/Physician 815-227-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 173000000X Legal Medicine (Licence: IL 042616967) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2008-10-16 |