| NPI | 1215134531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M DREXLER President 847-996-0671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036103496) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-30 |