| NPI | 1821398439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERSHEL LISTON WIX President 815-937-9370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036051497) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2011-01-11 |