| NPI | 1477637379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY A RADY Billing 847-429-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: IL 36102589) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-04-08 |