| NPI | 1164432332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN NONE SCHLESSINGER President 312-781-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036-030327) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |