| NPI | 1730417247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO ROBERT CONSIGLIO Owner 630-675-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME101216) |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2010-06-03 |