| NPI | 1932371119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK WELLINGTON LOGAN Md 847-441-6869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036056309) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |