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 |