| NPI | 1447390653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE M GREIDER Medical Director 847-869-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036065627) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2009-07-08 |