| NPI | 1881725091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SCOTT MORSE Vice President 773-463-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-103999) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |