| NPI | 1326260902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BARKER Medical Director 312-572-4503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 209001188) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |