NPI | 1912006529 |
---|---|
Entity Type | Organization |
Authorized Contact | STUART A ISSLEIB Sole Proprietor 312-567-5653 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036074032) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2008-02-28 |