| NPI | 1619068962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E. ROGER SZALOWSKI Owner / President 815-344-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 181-000158) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |