NPI | 1104256627 |
---|---|
Entity Type | Organization |
Authorized Contact | GAIL RUBINSTEIN Credentialing COO Rdinator 847-673-8473 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: IL 036067290) |
Enumeration Date | 2013-11-19 |
Last Update Date | 2019-11-21 |