NPI | 1295812964 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT M MORCOTT Owner/Medical Director 847-816-8686 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036099609) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2011-12-21 |