| NPI | 1346449022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW I JUN President/CEO 815-222-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036104814) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 036104814) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IL 036104814) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: IL 036104814) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-09-28 |