| NPI | 1942492772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANNE KOTZAN President 815-455-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 042617706) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2008-04-22 |