| NPI | 1922152990 |
|---|---|
| Other Name | SAMG ROSCOE IMMEDIATE CARE |
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2013-07-30 |