| NPI | 1134152366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY BOSTROM Director Of Client Services 630-321-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036078511) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2009-09-14 |