| NPI | 1861503153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD E LISBERG Director 708-366-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 036067746) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036067746) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-11-30 |