| NPI | 1407394836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A. RUNKE Medical Director 312-855-1634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036072041) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |