| NPI | 1699783787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TOPIELEC Administrator 815-318-5645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 042007183) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 042007183) |
| 213ES0131X Podiatrist Foot Surgery (Licence: IL 042007183) | |
| 247100000X Radiologic Technologist (Licence: IL 042007183) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant (Licence: IL 042007183) | |
| 363L00000X Nurse Practitioner (Licence: IL 042007183) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2015-08-26 |