NPI | 1578860219 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL HARTKE CEO 847-725-8618 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
207R00000X Internal Medicine | |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207RG0100X Internal Medicine, Gastroenterology | |
207RR0500X Internal Medicine, Rheumatology | |
2085R0202X Radiology, Diagnostic Radiology | |
208M00000X Hospitalist | |
213E00000X Podiatrist | |
Enumeration Date | 2011-02-15 |
Last Update Date | 2022-03-16 |