| NPI | 1871682674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHMET SIPAHI Medical Director 815-933-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036070341) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036110965) |
| 2085R0001X Radiology, Radiation Oncology (Licence: IL 036111809) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |