NPI | 1043490485 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSANA LAPID President 847-296-4447 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036086867) |
Enumeration Date | 2007-11-13 |
Last Update Date | 2013-02-14 |