| NPI | 1932291101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE DEMUTH Prctice Administrator 847-888-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-07-21 |