| NPI | 1356680300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABETTE S TILDEN Office Manager 847-672-4940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: IL 036-115915) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2016-05-20 |