| NPI | 1508124744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GEORGE GEOHAS Owner 847-869-1192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036093330) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2022-09-15 |