| NPI | 1881878221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS FRANKLIN KELLAR Owner/Physician 815-477-7350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: IL 036-104219) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2020-09-01 |