| NPI | 1538120381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK T PEREZ State Business Administrator 847-585-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2012-08-20 |