| NPI | 1922231976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA BOMBARD Billing Director 630-897-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036054285) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2010-03-10 |