| NPI | 1518984228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM K LEE Chairman, Board Of Directors 815-758-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-10-26 |