| NPI | 1306892377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S FOOTERMAN President 815-633-8586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2011-06-06 |