NPI | 1205915154 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM H. GROS Physician/Owner 630-390-1240 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036075612) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2007-09-19 |