| NPI | 1174876429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA BAKER Coordinator 847-251-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-106878) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |