| NPI | 1881877686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVEK THAPPA Physician 815-316-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036081657) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036081657) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036081657) | |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2008-05-27 |