| NPI | 1265817837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIS S GOLDENBERG President 847-530-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036043474) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2023-03-07 |