| NPI | 1982703856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEERA GEORGE MADAPPALLIL President 847-414-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036104910) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2015-04-22 |