| NPI | 1407933831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M WALSH President 815-725-2653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 042-618083) |
| Additional Taxonomies | 207YS0012X Otolaryngology Sleep Medicine (Licence: IL 042-618083) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-06-10 |