| NPI | 1518780006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALIA THOMAS COO 847-909-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |