| NPI | 1619228723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL KOTTMANN President 630-646-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-10-05 |