| NPI | 1316179625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRILL APPLEWHTE Owner/Physician 815-937-7962 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01067111A) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |