| NPI | 1609949890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASITH M. OSMANI Physician Owner 815-562-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 336047179) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 336047179) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |