| NPI | 1316138522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L LUNDINE President 815-226-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IL 336023733) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-10-28 |