| NPI | 1932227931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S. OSBORNE President 815-708-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 042.619019) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |