| NPI | 1881620151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J STAVRAKOS President 847-945-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 042000410) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2022-03-28 |