| NPI | 1295882876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE ALESSI Office Administrator 847-663-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IL 042-617261) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2010-12-16 |