| NPI | 1306075767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON BUSH Healthcare Admin 847-428-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036110141) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |