| NPI | 1205017357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA MARIE LIPINSKI Physician 847-583-9189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036115821) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |