| NPI | 1689803462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FRANCIS KANNIN Director 847-647-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036086448) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2020-09-27 |