| NPI | 1285094771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY FANG President 847-695-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 3651626) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |