| NPI | 1417078858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GOODMAN Office Manager 847-984-6452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36081366) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-12-18 |