| NPI | 1780752055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE A. COHEN Physician Owner 847-549-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036103315) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2012-03-08 |