| NPI | 1811982408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY M WILCOX Office Manager 847-816-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 042-002811) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2012-10-05 |