| NPI | 1740596808 |
|---|---|
| Other Name | SAH WEISKOPF CLINIC |
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2018-07-12 |