| NPI | 1659300473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GINDORF President 815-455-9231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-078574) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2016-04-12 |