NPI | 1982894911 |
---|---|
Entity Type | Organization |
Authorized Contact | YASMINDA GARCIA Administrative Assistant 847-578-8442 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Additional Taxonomies | 207R00000X Internal Medicine |
207VX0000X Obstetrics & Gynecology, Obstetrics | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
225100000X Physical Therapist | |
103TC1900X Psychologist, Counseling | |
170100000X Medical Genetics, Ph.D. Medical Genetics | |
Enumeration Date | 2007-07-26 |
Last Update Date | 2023-04-18 |