| NPI | 1760717318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE CANADA Practice Manager 847-695-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036104509) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2023-10-23 |