| NPI | 1114076791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGATA OCZKO-DANGUILAN President 847-546-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036112877) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2024-08-03 |