| NPI | 1699034405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN J POLLAK President 847-297-2091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036037460) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 036037460) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-06-12 |