NPI | 1942309547 |
---|---|
Entity Type | Organization |
Authorized Contact | LEO TAIBERG Sole Proprietor 630-789-2550 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036105481) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2008-01-28 |