| NPI | 1306114590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DAVID FIELD President 847-564-5645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 036-057386) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |