| 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 |