| NPI | 1558477034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH PORTER President 630-257-2265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-12-31 |