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 |