| NPI | 1588843411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELLE S FLETCHER President 815-744-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-089471) |
| Enumeration Date | 2007-10-27 |
| Last Update Date | 2008-01-23 |