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 |