| NPI | 1750515300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHANSHYAM S SHAH President 847-255-7107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2015-07-21 |