| NPI | 1558670885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILTON M GORDON Owner/Provider 630-241-1495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036066534) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |