| NPI | 1811150964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON M. MERTEN Office Manager 815-932-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: IL 036052305) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2010-01-07 |