| NPI | 1780879866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. FERNANDO SORUCO Medical Director 847-228-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL D60067015) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2015-07-29 |