| NPI | 1841474574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W DEBRE Sole Owner (President) 708-423-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036053268) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2009-12-29 |