NPI | 1285900753 |
---|---|
Entity Type | Organization |
Authorized Contact | JON POTTER AAGAARD President 630-614-4255 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036058975) |
Enumeration Date | 2012-03-28 |
Last Update Date | 2015-07-01 |