NPI | 1235203076 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE JOSEPH BAKER President 630-978-4810 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036098108) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2007-07-12 |