NPI | 1033179411 |
---|---|
Former Legal Business Name | PRESBYTERIAN HOMES |
Entity Type | Organization |
Authorized Contact | MARK HAVRILKA Chief Financial Officer 847-979-3904 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-03-28 |
Last Update Date | 2022-10-14 |