| NPI | 1528133014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA MELAMED Medical Director 847-418-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036095792) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2010-11-03 |