| NPI | 1124141601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R CLAUS President 708-383-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 0336026597) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |