| NPI | 1710194477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL E ALVA Physician 630-325-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036085880) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036090919) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-09-21 |