| NPI | 1548494453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBUR MILONS Office Manager 815-582-3727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 111NR0400X |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-10-05 |