| NPI | 1134502891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH BARNES INGRAM Owner/President 312-640-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage (Licence: IL 100693939) |
| Additional Taxonomies | 251X00000X Supports Brokerage (Licence: IL 9691210) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2016-01-04 |