| NPI | 1760546931 |
|---|---|
| Other Name | CRYSTAL LAKE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN M WU President 815-459-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036056698) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |