| NPI | 1548613995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELINA WISNIEWSKI Credentialing Coordonator 847-247-0187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2019-12-09 |