| NPI | 1821373879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WARREN Owner 815-773-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036104101) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2024-11-14 |