| NPI | 1649664434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES G DELIS President 847-414-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |