NPI | 1265596720 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY AKEMANN Practice Manager 847-742-3525 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 042000063) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2015-06-30 |