| NPI | 1407324379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA TARASOVA COO 847-809-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2021-01-22 |