| NPI | 1518028828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY T. KUHLMAN Owner 815-639-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036049364) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 042617189) |
| 207L00000X Anesthesiology (Licence: IL 036049364) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 6325720001) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-11-03 |