| NPI | 1467816918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIR JOFFREY Md 847-278-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: FL ME125271) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-06-07 |