NPI | 1447480033 |
---|---|
Other Name | SA BELVIDERE SPECIALTY CENTER |
Entity Type | Organization |
Authorized Contact | DON DANIELS VP 815-966-2084 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2009-07-17 |
Last Update Date | 2018-07-12 |