| NPI | 1629190137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORTON MILLER Medical Director 847-677-1923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036038202) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-07-30 |