| NPI | 1982972303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAKSHA MEHTA Physician 847-894-0848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036064973) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |