| NPI | 1194163139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON JAMES ROSSI Practice Administrator 309-662-2278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036090897) |
| Additional Taxonomies | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IL 036090897) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |