| NPI | 1922212091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY MANN Director Of Managed Care 630-856-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-02-15 |