| NPI | 1871786731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT F MILLER Vice President/ Treasurer 847-816-3084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 042617582) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2012-10-24 |