| NPI | 1215004874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON S HOLLOWAY Physician President 847-548-8430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036098167) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2014-01-22 |