| NPI | 1003245085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY RADY Billing Specialist 847-809-7381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |