| NPI | 1376078774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL KOTTMANN President 630-646-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |