| NPI | 1265754154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L BARTHOLOW Owner 847-853-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036 081882) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2012-03-24 |