| NPI | 1770722407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY E GUMILA President 224-653-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-115260) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-112261) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2011-03-10 |