| NPI | 1306873674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE M HOMA President 847-222-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-050063) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-11-02 |