| NPI | 1134496607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA A OLSON Owner/President 847-888-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 060004490) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2013-03-04 |