| NPI | 1750434361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN ECKHARDT Practice Administrator 815-226-1906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 36061106) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |