NPI | 1174567903 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN BRIAN GEICK Corporation Co President 563-344-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 060-006842) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2016-07-13 |