| NPI | 1164952362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DREY Owner 847-527-9189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 46010232) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-04-27 |