NPI | 1366538274 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM A MORAN President 847-394-4930 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036106016) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2012-11-07 |