| NPI | 1174396048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMKUM S PATEL President And CEO 815-566-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2024-05-06 |