| NPI | 1700939535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE EDWARD FRAZIN Physician 847-249-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 03639794) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2010-03-02 |