NPI | 1588601942 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES BERMAN Owner 847-723-7700 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2006-06-02 |
Last Update Date | 2013-07-22 |