| NPI | 1679791834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J MIKOLAJCZAK President 815-953-8692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036073719) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-07-19 |