| NPI | 1043355670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ALEXANDRE President 708-865-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036100953) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-05-09 |