| NPI | 1568576734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE S. INGRASSIA President 815-397-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036 083892) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-03-11 |