| NPI | 1861569170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY TODD TRAPP President 815-935-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036095931) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036095931) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-08-06 |