| NPI | 1922037720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A LARSON President 847-690-9767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-050093) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-050093) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2018-07-02 |