NPI | 1154636959 |
---|---|
Entity Type | Organization |
Authorized Contact | RAMON ANGEL GONZALEZ President 847-392-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036094195) |
Enumeration Date | 2010-08-17 |
Last Update Date | 2010-08-17 |