| NPI | 1962451732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy |
| 207PE0004X Emergency Medicine Emergency Medical Services | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RR0500X Internal Medicine Rheumatology | |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2025-01-14 |