| NPI | 1114699667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GREAGER Owner 630-261-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208600000X Surgery | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2023-05-18 |