| NPI | 1821008657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MICHAEL KWIATKOWSKI Physician 630-682-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036070989) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101009035) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |