| NPI | 1467667659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A PANZICA Business Owner 815-485-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 042-618128) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-09-09 |