| NPI | 1902293657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE A CHRISTENSEN Owner 815-343-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 209.001386) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-07-10 |