| NPI | 1497983191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI A REYNOLDS Administrator 847-680-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036064653) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |