| NPI | 1316772882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON WILLIAMS Owner 815-919-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251S00000X Community/Behavioral Health | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2025-01-28 |