| NPI | 1720272685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE KENNEALLY Physician 847-441-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036118323) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2024-08-01 |