| NPI | 1770906638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS M LEKAKH Administrator 847-420-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |