| NPI | 1275926123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHANA LAL-TABAK President 847-425-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 042.619453) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: IL 036.079471) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |