| NPI | 1750884375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO KANEV President 847-337-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |