| NPI | 1356592828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISA ANNE MORRIS-CHRISTIAN Owner 815-464-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036101122) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2021-02-10 |