| NPI | 1598824492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATESWARARAO ALLA Medical Directore 815-284-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-03-04 |