| NPI | 1104136100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY S WEILER President/Medical Director 773-784-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036117858) |
| Enumeration Date | 2010-10-12 |
| Last Update Date | 2010-10-22 |