NPI | 1881879088 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID S. SHOBERG Physician 815-636-7111 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IL 036083667) |
Enumeration Date | 2008-01-07 |
Last Update Date | 2008-01-07 |