| NPI | 1508032053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MILLER Account Executive 815-834-7232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-072068) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2010-06-09 |