| NPI | 1346400959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IL HWANG Pharmacist 847-507-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: IL 054-016407) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |