| NPI | 1205009487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAKSHA N. MEHTA M.D. 847-695-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036064973) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2011-11-29 |