| NPI | 1386660553 |
|---|---|
| Former Legal Business Name | JENNIFER C BARE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER C DEBRULER Owner 847-968-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036105592) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2009-10-09 |