| NPI | 1043410772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L BANKS Director Physician & Patient Svcs 630-836-9121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036111136) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: IL 036074347) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036093821) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036075202) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036093314) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036107234) | |
| 363L00000X Nurse Practitioner (Licence: IL 209006135) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-10-27 |