NPI | 1417137712 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY ANDREWS Owner / Physician 630-479-2722 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036105798) |
Enumeration Date | 2007-11-05 |
Last Update Date | 2014-10-23 |