| NPI | 1093075848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEE A BRUMMEL Executive Director 630-978-4915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208200000X Plastic Surgery (Licence: IL 036-079730) | |
| 208600000X Surgery (Licence: IL 036-102434) | |
| 208800000X Urology | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2020-08-04 |