| NPI | 1043446719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT REYNOLDS Office Manager 847-498-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036093048) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2010-05-04 |