| NPI | 1538234075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELLA GOLAND Medical Director 847-897-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036089212) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-12-02 |