| NPI | 1639219421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD SHELDON MANGURTEN President 847-884-8420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036057442) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-02-12 |