| NPI | 1487975900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE A WERNER Credentialing 630-261-9286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036089606) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2023-12-05 |