| NPI | 1225146483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI S JANICEK Practice Manager 708-422-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036044355) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2014-08-26 |