| NPI | 1194844050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD L SUPRENANT President 708-748-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 036071427) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-03-28 |