NPI | 1780925305 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY D KACZMAREK President 847-679-6707 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036081697) |
Enumeration Date | 2013-03-06 |
Last Update Date | 2013-03-06 |