| NPI | 1386812428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA J MATHIAS Office Manager 847-662-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036054385) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |