| NPI | 1043713324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER A MORENO President 847-620-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-052532) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |