NPI | 1255846911 |
---|---|
Doing Business As | SA INFECTIOUS DISEASE CONSULTANTS AND PALLIATIVE CARE CLINIC |
Entity Type | Organization |
Authorized Contact | DON DANIELS VP 815-966-2084 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2017-12-04 |
Last Update Date | 2019-10-02 |