| NPI | 1669640504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE HAUSER Practice Manager 815-397-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036087626) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-21 |