| NPI | 1285745125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS MCCARTHY Practice Manager 847-888-3661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 042006899) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-09-12 |