| NPI | 1497790505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY K BEAMER Secretary 708-628-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036089550) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036082359) |
| 207R00000X Internal Medicine (Licence: IL 036093823) | |
| 208000000X Pediatrics (Licence: IL 036093823) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-01-09 |