| NPI | 1073830667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE RICHARD LOUGHLIN President 847-884-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 36-064417) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2010-04-22 |