| NPI | 1124280102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET S. MALLORY Asst. Office Manager 847-825-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036040048) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036040048) |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: IL 036040048) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: IL 036040048) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |