| NPI | 1548358054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER T KROODSMA President 309-691-2903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 042004157) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2010-07-13 |