| NPI | 1447872676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FLEMING CEO 847-951-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-10-15 |