NPI | 1780798397 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY AARON WALLMAN Physician 847-901-5200 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036107048) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2007-11-19 |