| NPI | 1275755738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARD PETERS Owner 630-904-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036078421) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-10-18 |