| NPI | 1740539220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIONETTE S JAYAPRAKASH Physician 630-289-6024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036128479) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |