NPI | 1275963027 |
---|---|
Entity Type | Organization |
Authorized Contact | BILL KOTTMANN President 630-646-3950 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207R00000X Internal Medicine |
2084N0400X Psychiatry & Neurology, Neurology | |
363LF0000X Nurse Practitioner, Family | |
363A00000X Physician Assistant | |
207Q00000X Family Medicine | |
Enumeration Date | 2013-11-14 |
Last Update Date | 2014-08-13 |