| NPI | 1275655151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M KENTOR Physician 847-634-1690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036044332) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-10-13 |