| NPI | 1336294800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G. MALLOY Vice President 847-548-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 042004067) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |