| NPI | 1326227034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA M. KIMES Office Manager 815-297-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036069794) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-31 |