| NPI | 1629046115 |
|---|---|
| Doing Business As | KSB CENTER FOR DIABETES MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | KEVIN T MARX Vice President 815-285-5508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-08-22 |