| NPI | 1194044743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARTRELL KING Physician 630-376-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2016-09-13 |