| NPI | 1215063144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L. MCKERLIE Administrator 847-244-2960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-09-08 |