| NPI | 1750724464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KRISTOPHER ZICH President 224-362-9424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-104026) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 336-064506) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2025-07-18 |