| NPI | 1649397258 |
|---|---|
| Former Legal Business Name | NORTHWEST SUBURBAN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | VALERIE G MCFERREN Office Manager 847-352-4649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2009-07-10 |