| NPI | 1467841809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK G GANNON Physician 815-754-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: IL 036-077643) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |