| NPI | 1083721716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA POLISHCHUK Biller 847-763-1334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |