| NPI | 1740231505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK R CHAMBERLIN President 847-981-3680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 42007401) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 42007401) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 42007401) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2010-02-05 |