NPI | 1104955905 |
---|---|
Entity Type | Organization |
Authorized Contact | MEENA T MALHOTRA President 847-686-4444 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036114659) |
Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: IL 036114659) |
207Q00000X Family Medicine (Licence: IL 036105667) | |
Enumeration Date | 2007-03-05 |
Last Update Date | 2011-06-10 |