| NPI | 1073549713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KUTKA Credentialinmg 847-719-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 208M00000X Hospitalist | |
| 208VP0000X | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2024-09-24 |