| NPI | 1265654859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DIAMOND President Dfmc 815-397-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036076054) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |