| NPI | 1336287168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN MICHAEL STICKAN Office Administrator 847-247-0187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-09-10 |