| NPI | 1518180181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY J VAN OENE Office Manager 312-493-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 03608859) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036088859) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-08-17 |