NPI | 1184781338 |
---|---|
Entity Type | Organization |
Authorized Contact | VISHNU DAS GAIHA Physician President 847-491-1977 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: IL 36046908) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-08-22 |