| NPI | 1225206782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRZEJ JOZEF GACEK Billing 847-444-0553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036117533) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2009-03-02 |