| NPI | 1912201310 |
|---|---|
| Other Name | NCIM |
| Entity Type | Organization |
| Authorized Contact | RAO KILARU President/CEO 815-330-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 36.060189) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 38.011832) |
| 207Q00000X Family Medicine (Licence: IL 36.113633) | |
| 363A00000X Physician Assistant (Licence: IL 85.003604) | |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |