| NPI | 1841594686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK E HULT Clinic Director 815-344-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 060004159) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2014-05-05 |