| NPI | 1891984217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE ANN PLAUCK Biller 815-754-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036118178) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |