| NPI | 1417259979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGO ANTOINETTE BELL Owner 312-859-2491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036086432) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |