| NPI | 1427341080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMMOTHY DON BAILEY President 815-557-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036-122984) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |