| NPI | 1184907073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE L VOSS Physician 815-582-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.124730) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |