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 |