| NPI | 1114286135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM BROBST Managing Member 312-523-8693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX P2101) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-07-30 |