| NPI | 1518983998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE FLOM Owner 847-297-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: IL 036071644) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-06-23 |