| NPI | 1851394696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J KLAZURA Controlling Partner 815-489-6034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036062833) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: IL 036104533) |
| 2086S0129X Surgery, Vascular Surgery (Licence: IL 036063647) | |
| 208C00000X Colon & Rectal Surgery (Licence: IL 036064410) | |
| 208600000X Surgery (Licence: IL 036048085) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: IL 036101179) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: IL 036067268) | |
| 208600000X Surgery (Licence: IL 036064323) | |
| 363AS0400X Physician Assistant, Surgical (Licence: IL 085002211) | |
| 363L00000X Nurse Practitioner (Licence: IL 209004303) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036071666) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2012-02-17 |