| NPI | 1770770919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CARTER TACK President 847-625-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036097015) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2024-01-26 |