| NPI | 1093955973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GARB President 847-888-1914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036059113) |
| 207R00000X Internal Medicine (Licence: IL 036064578) | |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-04-01 |