| NPI | 1407966302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M O'CONNOR Administrator 815-602-8253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-09-05 |