| NPI | 1669802526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C HARTKE COO 847-618-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2022-03-16 |