NPI | 1568643336 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL MAITAR President/Owner 847-551-9617 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036081217) |
Enumeration Date | 2007-11-20 |
Last Update Date | 2007-11-20 |