| NPI | 1568651974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAUSHEEN ASMA KHAN Office Manager 815-754-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036099166) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |