| NPI | 1013068311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN DREXLER President 847-904-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036093384) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |