| NPI | 1326193061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 163WW0000X Registered Nurse, Wound Care | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| 207T00000X Neurological Surgery | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-07-12 |