| NPI | 1790233609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE RANJAN MANDAL President 847-757-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 036119779) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2021-08-17 |