| NPI | 1508912379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALIA ZAMBRANO Billing Manager 847-358-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 042618214) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 042618214) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: IL 042618214) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 042618214) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 042618214) | |
| 208800000X Urology (Licence: IL 042618214) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 042618214) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 042618214) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 042618214) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-08-28 |