| NPI | 1952498628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARODE PUNDALEEKA President 815-725-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology |
| 2085R0001X Radiology Radiation Oncology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2012-10-24 |