| NPI | 1760432348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE L. BRADFORD A VP, Physician Services And Cvo 847-570-2041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 103T00000X Psychologist | |
| 207T00000X Neurological Surgery | |
| 208000000X Pediatrics (Licence: IL 036097505) | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 364SA2100X Clinical Nurse Specialist Acute Care | |
| 367A00000X Advanced Practice Midwife | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-06-08 |