| NPI | 1740483130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W BOER Owner 630-801-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036074401) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038007485) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-09-18 |