| NPI | 1619920501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA O'CONNOR Administrator 815-937-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002876) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-09-05 |