| NPI | 1659862860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL M PETRAK Managing Partner 630-655-7290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2019-10-31 |