| NPI | 1972521839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. TIMMONS President 708-393-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 042617819) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-12-10 |