| NPI | 1154500627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA B KUTA President 847-956-5461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: IL 1464608428) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-11-01 |