| NPI | 1497483325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE L BRADFORD A VP 847-570-2041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207L00000X Anesthesiology | |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207T00000X Neurological Surgery | |
| 207U00000X Nuclear Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 207ZB0001X Pathology, Blood Banking & Transfusion Medicine | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |