| NPI | 1730511379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-961-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2018-07-12 |