| NPI | 1194885137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA JACOBI Business Manager 815-933-3955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |