| NPI | 1487722831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELLA J SOLO Office Manager 847-253-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036112407) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.291589) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2015-03-31 |