| NPI | 1467994129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN MORGAN O'CONNOR Physician 815-954-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036097969) |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2016-11-25 |