| NPI | 1326223579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDREW BRNA President 847-480-7580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 042.619179036.064599) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |