| NPI | 1063630010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE LENOIR-DAVIS Inter.Dir. Of Office Of Spec. Serv. 847-859-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2009-09-29 |