| NPI | 1740428184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL H NGUYEN Physician/Manager 815-758-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036116210) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2010-11-08 |