| NPI | 1013663749 |
|---|---|
| Doing Business As | THE GOOD DOC DIRECT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | KATHERINE BLAKE President 847-984-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-02-22 |