| NPI | 1720227994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA LOPEZ Office Manager 309-756-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036088655) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2021-01-15 |