| NPI | 1023297157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG R COHAN President 815-577-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036076073) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |