| NPI | 1023257045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN MICHAEL BORNSCHLEGL Owner/Counselor 847-391-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL A-6791-0001-A) |
| Enumeration Date | 2009-02-14 |
| Last Update Date | 2009-02-14 |