NPI | 1285701797 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN M SCHNEIDER Surgeon And CEO 815-730-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036-089059) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2010-03-02 |