| NPI | 1952541922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVEK THAPPA Physician 815-316-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: IL 036081657) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |