| NPI | 1215951785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H WATERS President 312-829-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist, Optician | |
| 163WD0400X Registered Nurse, Diabetes Educator | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 208800000X Urology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-11-14 |