| NPI | 1174795991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS TILOT President 815-385-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 036093581) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2009-04-09 |