| NPI | 1356402465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY A WIECZOREK Accounts Management/Supervisor 630-327-7991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 042006651) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2013-10-02 |