| NPI | 1053483909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W MATSESHE President 847-680-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 042003643) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2014-02-03 |