NPI | 1063635431 |
---|---|
Entity Type | Organization |
Authorized Contact | HEIDI B KLIER Office Manager 847-695-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036078120) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2012-12-12 |