NPI | 1477831220 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCEE A BRUMMEL Executive Director 630-978-4915 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036076800) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036076800) |
Enumeration Date | 2011-07-28 |
Last Update Date | 2018-02-21 |