| NPI | 1063681849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL WIELAND President 847-998-9510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 042616773) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |