| NPI | 1972806347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MANUEL Physician And Owner 630-390-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036120537) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |