| NPI | 1255727939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA KUHNS Billing Manager 847-915-6389 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-05-11 |