| NPI | 1992992820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA PECHEREK ROGERS President 815-436-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036103443) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2013-04-04 |