| NPI | 1194808667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALLEN KALE President 847-674-7520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 036055661) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-01-18 |