| NPI | 1679770952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISSE PHIPPS Revenue Cycle Manager 630-974-5236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ MA057981) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-04-28 |