| 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 |