| NPI | 1467470930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE MARIE MARTYN Administrator 847-888-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D35559) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD D0057335) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-09-26 |