| NPI | 1134164213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY MANN Director Of Managed Care 630-856-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2017-06-14 |