NPI | 1225135007 |
---|---|
Entity Type | Organization |
Authorized Contact | REGINA BIELKUS Owner/Physician 815-226-1906 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036066031) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |