| NPI | 1841312980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL S LEIFHEIT President 815-223-4273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-093954) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-093954) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2008-01-07 |