| NPI | 1710153762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAJORNDEJ KOMUTANON President 847-966-1957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 036046966) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |