| NPI | 1982974689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEE A BRUMMEL Executive Director 630-978-4915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036128969) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036128969) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2018-02-21 |