| NPI | 1235573197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WILLIAMS President 312-929-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036116334) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2014-01-11 |