| NPI | 1386808871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LARRY MCFADDEN Nephrologist 1815-942-5813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036087527) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |