| 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 |