NPI | 1558653949 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCY DEY President 815-714-2240 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Enumeration Date | 2011-05-04 |
Last Update Date | 2019-11-04 |