| NPI | 1699011692 |
|---|---|
| Other Name | SA ROCHELLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 207V00000X Obstetrics & Gynecology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2018-07-12 |