| NPI | 1669455549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY B DACHMAN Medical Administrator 847-352-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036054770) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036096179) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-08-22 |