| NPI | 1588780894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER REID GLAWS President 847-244-2960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 042617686) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-08-27 |