| NPI | 1437311479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. SUZANNE FLOM President 847-297-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology Pediatric Urology (Licence: IL 036071644) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |