| NPI | 1427243872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M BLAIR Registered Agent 312-282-5616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036117811) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2008-11-12 |