| NPI | 1194772756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT REYNOLDS Practice Manager 847-729-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-063246) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-04-23 |