| NPI | 1982901211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEENA NADKARNI Director 815-741-9714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036097180) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-09-02 |