| NPI | 1790844959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SHARP Owner 815-395-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-12-03 |