| NPI | 1285972505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES V VILLAR Managing Director 847-324-9728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2021-06-22 |