| NPI | 1831473784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK E DUBIN Owner 847-490-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-078199) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |