| NPI | 1235327677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEYER CP DEVARAPALLI Medical Director 847-296-0336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036117190) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2023-01-06 |