| NPI | 1194856211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SLAVOMIR IZEWSKI President 847-301-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036085452) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-10-22 |